HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Finance; 2010-02-19City Clerk/Records Management
Page 1 of 2
RECORDS DESTRUCTION REQUEST
Department Requesting Destruction: FINANCE
Approvals for Destruction
<?/r/0 9
Department Head Date
Records Manager Date
Attorney Date
We certify that the records listed below have been retained for the scheduled retention period, required audits have
been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
'RECORDS ON THIS FORM ARE FROM THE OFFSITE MICROFICHE INVENTORY STORED WITH THE CLERK'S OFFICE
Person(s) Completing Form:
Tanya Bjork
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
RECORDS DESCRIPTION
PAYROLL INSURANCE REFUND
PAYROLL DEDUCTION LIST
PAYROLL CHECK REGISTER
PAYROLL BENEFITS
PAYROLL DISTRIBUTION ROSTER
PAYROLL DISTRIBUTION
PAYROLL DEDUCTION REGISTER
PAYROLL LABOR DISTRIBUTION DETAIL
PAYROLL BENEFIT REPORT
PAYROLL LEAVE REPORT
PAYROLL LABOR DISTRIBUTION
PAYROLL LEAVE REPORT
PAYROLL REGISTER
REVENUE SUMMARY
DATED
1984
1978-
1983
1985
1986-
1987
1984
1978-
1983
1984-
1985
1985-
1987
1989-
1992
1987-
1989
1989
1992
1978-
1992
1983-
1991
BOX
No.
RM20
09MF
RRS No.
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0450-20
0400-81
RRS
Period
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
AU+6
CU+7
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
, Page 2 of2
*RECORDS ON THIS FORM ARE FROM THE OFFSITE MICROFICHE INVENTORY STORED WITH THE CLERK'S OFFICE
Person(srComgleting Form:
Tanya Bjork
No.RECOR05-SE5CRIPTION DATED BOX
No.
RRSNa
Period
BARCODE APPROVED By
City Attorney
H=HOLD
15 EXPENDITURE SUMMARY 1983-0400-81 CU+7 N/A
RECORD DESTRUCTJOff COMPLETED BY :
CERTIFICATE OF DESfRUCTION? Yes D No D
SMEADLiNK BARCODES DELETED BY:DATE
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 2 of2
Person(s) Completing Form:
Tanya Bjork
No.
15
16
17
RECORDS DESCRIPTION
EXPENDITURE SUMMARY
GENERAL INFO (MASTER LISTS (FUNDS, GL'S,
DEPARTMENTS, OBJECTS))
GENERAL INFO (TRIAL BALANCE)
DATED
1983-
1991
1988
1986-
1991
BOX
No.
RM20
09MF
RRS No.
0400-81
0400-05
0400-05
RRS
Period
CU+7
CU+2
CU+2
BARCODE
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY ;
CERTIFICATE OF DESTRUCTION? Yes 0 No D
DATE
SMEADLINK BARCODES DELETED BY:DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
C'.'^ C!v,k/HccGrds Management
Pagel ofl
Department Requesting Destruction: FINANCE
r\ Approvals for Destruction
/—X- OJ^?- ^—
Department Head Date
Records Manager Date
Attorney Date
We certify that the records listed below have been retained for the scheduled retention period, required audits have
been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
'RECORDS ON THIS FORM ARE FROM THE OFFSITE FINANCE MICROFICHE INVENTORY
Person(s) Completing Form: /i -T^
Tanya Bjork &
No.
1
2
3
4
5
6
7
RECORDS DESCRIPTION
CMWD ACCOUNT RECEIVABLE TRIAL
BALANCE
CMWD BILLING REGISTER
CMWD BILLING REGISTER & TRIAL BALANCE
CMWD PURGE EXCESS DETAIL LIST
CMWD CLOSED ACCOUNT MASTER LISTS
CMWD EXCESS DETAIL
WATER EXCESS DETAIL
DATED
1991-
1992
1991-
1992
1994-
1997
1990-
1992
1990-
1992
1993-
1996
1986-
1992
BOX
No.
899
899
899
899
899
899
899
RRS No.
0400-88
0480-26
0480-26
0400-84
0400-05
0400-84
0400-84
RRS
Period
AU+4
AU+4
AU+4
10
CU+2
10
10
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes El No [j
SMEADLINK BARCODES DELETED BY:
DATE
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
City Clerk/Records Management
Page 1 of 3
App
1
ONSITE RECORDS DESTRUCTION REQUEST
roved for Destruction ^-"^ ' f-j*. fflo<0 / Q
Department Head
faf City Records Manager
City Attorney
"otal of records approved for destruction:
Date
Date
{- L > • 2-Ofo.
Date
NOTE : City records on "Hold" cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audits
have been completed, and no pending or ongoing litigation or investigation involving these records is known
to exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date: Originating Department Manager Initials:
Person's Completing Form: Marie Nutter
No.
1
2
3
4
5
6
7
8
9
10
11
RECORDS DESCRIPTION
Time Cards 1 999 (I-L)
Time Cards 1999 (Go-H)
Time Cards 1999(E-Gi)
Time Cards 1 999 (C-D)
Time Cards 199 (A-B) and Folder w/uniform
reimbusement, retro pay, health Employee Awards
Time Cards 1 999 (M)
Time Cards 1999(N-Re)
Time Cards 1999 (Ri-Sn)
Time Cards 1 999 (Si-V)
Time Cards 1999(W-Z)
Payroll Check Register 1999 & Payroll Posting
DATED
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
1/1/09-
12/31/99
1/1/99-
12/31/99
1/1/99-
12/31/99
BOX
No.
413
I
L-
L
<rf
$\
Bo
H3I
fe
^33
i$(\
vj$5
^
^
RRS No.
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
RRS
Period
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
BARCODE
194565854
194565869
194565870
194565871
194565872
194565873
194565874
194565875
194565876
194565877
194565887
PDF
APPROVED
By City
Attorney
H=HOLD
City Clerk/Records Management
Page 2 of 3
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date: Originating Department Manager Initials:
Person's Completing Form: Marie Nutter
No.
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
RECORDS DESCRIPTION
Payroll Pre List #21 thru #26 & Payroll Postings 2000
Payroll Pre List #1 1 thru #20 & Police Holiday Pay
Payroll Pre List 2000 #01 thru #10
Payroll Pre List 1999 #14 thru #26
Payroll Pre List 1999 #1 thru #13
Payroll Time Cards T-Z
Payroll Time Cards -S
Payroll Time Cards Pi - R
Payroll Time Cards Mi Ph
Payroll Time Cards L-Me
Payroll Time Cards Ho-K
Payroll Time Cards Br-C
Payroll Time Cards A-Bo
Payroll Time Cards G-Hi
Payroll Time Cards D-F
Payroll Time Cards 2001 (A-Bo)
Payroll Time Cards 2001 (Br-C)
Payroll Time Cards 2001 (D - Fo)
Payroll Time Cards 2001 (He - K)
Payroll Time Cards 2001 (L - Me)
Payroll Time Cards 2001 (Fr - Ha)
Payroll Time Cards 2001 (Mi - Pa)
Payroll Time Cards 2001 (Pe - Ru)
Payroll Time Cards 2001 (Sa - Sz)
Payroll Time Cards 2001 (T - Z)
Payroll Time Cards (Kl - MA)
Payroll Time Cards , 2002 RU - Sp
DATED
10/02/00-
12/31/00
5/15/00-
10/01/00
1/1/00-
5/14/OOf
6/14/99-
12/28/99
1/1/99-
6/13-99
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/00-
12/31/00
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01 -
12/31/01
1/1/01-
12/31/01
1/1/01 -
12/31/01 '
2002
2002
BOX
No.
1fl
^Ljlft
LJ5D
451
451
^t&\
*D4W
<U
few
^w*
5^
^955
561
55^
a>
rt
5ieO
5(p|
5bl
fofe
(Jk
RRS No.
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
RRS
Period
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
BARCODE
194565888
194565889
194565890
194565891
194565892
194565898
194565899*
194565900
194565901
194565902
194565903
194565904
194565905
194565906
194565907
194565994
194565995
1 94565996
194565998
194565999
194565997
194566000
194566001
194566002
194566003
229678590
229678589
PDF
APPROVED
By City
Attorney
H=HOLD
City Clerk/Records Management
Page 3 of 3
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance
Requested Date:Originating Department Manager Initials:
Person's Completing Form: Marie Nutter
No.
39
40
41
42
43
44
45
RECORDS DESCRIPTION
Payroll Time Cards 2002 Me - O
Payroll Time Cards We - Z
Payroll Time Cards Fo-Ha
Payroll Time Cards He-Ki
Payroll Time Cards A - Bl
Payroll Time Cards Bo - Co
Payroll Time Cards Cr - Fl
DATED
2002
2002
2002
2002
2002
2002
2002
BOX
No.
(0V)
U>$
1i4
Iti
135*
137
W
RRS No.
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
0450-10
RRS
Period
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
Au+6
BARCODE
229678588
229678587
229678569
229678568
274154304
274154305
274154306
PDF
APPROVED
By City
Attorney
H=HOLD
DOCUMENT DESTRUCTION PROVIDED BY : SV\V\aA-'\V DATE :
0130-25/F005 CERTIFICATE OF DESTRUCTION? Yes No
RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: FINANCE
Approvals for Destruction
Department Head Date
J-io
Records Manager Date
Attorney Date
We certify that the records listed below have been retained for the scheduled retention period, required audits have
been completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
'FINANCIAL RECORDS FROM CITY LIBRARY
Person(s) Completing Form:
TANYA BJORK
No.
1
2
3
RECORDS DESCRIPTION
LIBRARY REVOLVING FUND - GENERAL
INFORMATION
LIBRARY REVOLVING FUND - BANK
STATEMENTS
LIBRARY REVOLVING FUND - CHECK
REGISTERS
DATED
1993-
2006
1993-
2003
1986-
2003
BOX
No.
103
103
103
RRS No.
0420-05
0420-20
0400-40
RRS
Period
CU+2
AU+5
AU+5
^BARCODE
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY ;
CERTIFICATE OF DESTRUCTION? Yes 2J No D
DATE :
SMEADLINK BARCODES DELETED BY:DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 1 of 1
Exhibit C - Onsite Records Destruction Form F005
Approvet
ONS
V
I for Destruction
ITE RECORDS DESTRUCTION REQUEST
S^C—AC /Q//V/01
Department Head
K07U\_A- CSi-'i O'^c1-*'-*-
LfcfCily Records Manager
i— — %
City A
Total of records approved for
ttorney
destruction:
Date
Date
Date'1
NOTE : City records on "Hold" cannot be destroyed.
This form documents the destruction of City records in accordance with the California Public Records Act
We certify that the records listed below have been retained for the scheduled retention period, required audits
have been completed, and no pending or ongoing litigation or investigation involving these records is known
to exist.
This form documents the destruction of City records in accordance with the California Public Records Act.
Request by Originating Department:
Finance — rVl « rlA^ttC^.
Requested Date: Originating Department Manager Initials:
10/14/2009 .^Ja
Person's Completing Form: ^'1
No.
1
2
3
4
RECORDS DESCRIPTION
Bids & Proposals FY 03/04
Bids & Quote FY03/04
Bids FY 03/04
Bids 04/05
DATED
9/03 -3/04
5/04 - 4/05
5/03 - 5/04
08/04 -
12/04
BOX
No.
1
2
3
4
RRS No.
0470-45
0470-45
0470-45
0470-45
RRS
Period
AU+4
AU+4
AU+4
AU+4
BARCODE PDF APPROVED
By City
Attorney
H=HOLD
DOCUMENT DESTRUCTION PROVIDED BY :
0130-25/F005
DATE :
CERTIFICATE OF DESTRUCTION? Yes No
Box Contents
Box No. "ffi
Date Sent to IM K/ //fr f" I T
Box Bar Code No.
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Created: May 20, 2009
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CONTENTS DATES
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Created: May 20, 2009
H:\Storage & Records Retention\Forms\Box Inventory Form-Blank.docx
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Campo triterprises Inc., P. O Box 2Q77
Visfa. CA 920852077
PHONE 760-593-5700
0910473261
2i\ 9/2010
PURGE
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5815 El-Cammo Real
**NQ SUR-CHARGE '
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